Progress of heparanase in septic cardiomyopathy: A review

被引:0
作者
Chen, Di [1 ]
Wang, Lin-Jun [1 ]
Li, Hong-Lei [1 ]
Feng, Fei [1 ]
Li, Jian-Chun [1 ]
Liu, Liping [1 ,2 ]
机构
[1] Lanzhou Univ, Clin Med Sch 1, Lanzhou, Gansu, Peoples R China
[2] First Hosp Lanzhou Univ, Dept Emergency Crit Care Med, Lanzhou, Gansu, Peoples R China
关键词
fibrosis; heparanase; microcirculatory dysfunction; mitochondrial dysfunction; septic cardiomyopathy; ENDOTHELIAL GLYCOCALYX; EXTRACELLULAR-MATRIX; TISSUE FACTOR; SULFATE; CANCER; DYSFUNCTION; MECHANISMS; EXPRESSION; GROWTH; TUMOR;
D O I
10.1097/MD.0000000000038901
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Septic cardiomyopathy (SCM) is a severe complication caused by sepsis, resulting in a high mortality rate. The current understanding of the pathogenic mechanism of SCM primarily involves endocardial injury, microcirculation disturbance, mitochondrial dysfunction and fibrosis. Heparanase (HPA), an endo-beta-D-glucuronidase, has been implicated in inflammation, immune response, coagulation promotion, microcirculation disturbance, mitochondrial dysfunction and fibrosis. Therefore, it was hypothesized that HPA may play an important role in the pathogenesis of SCM. The present study provides a summary of various pathophysiological changes and mechanisms behind the involvement of HPA in SCM. It also presents a novel perspective on the pathogenic mechanism, diagnosis and treatment of SCM.
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页数:8
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